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Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA ORTHOPEDIC SURGERY MED GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HALE (DIRECTOR OF FINANCE)
(310) 301-5311
Entity
Organization
Contact information
Practice address
1250 16TH ST, SUITE 2100, SANTA MONICA, CA 90404-1249
(424) 259-9211
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
CA
207XS0106X
Orthopaedic Hand Surgery Physician
—
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
CA
207XX0801X
Orthopaedic Trauma Physician
—
CA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/04/2014
Last updated
10/24/2023
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